Individual provider · Type 1 NPI

Ryan Fong

Registered Nurse · La Jolla, CA

NPI number 1053289751 Active

Practice location

9888 Genesee Ave
La Jolla, CA 92037-1205

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X95333029 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1053289751

Ryan Fong's National Provider Identifier is 1053289751, issued on Oct 25, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in La Jolla, CA. The record was last updated on Oct 25, 2025.